Kae, would the insurance company happen to be Humana? They pay no attention to the specialty of the doctor, only the tax ID#. We had the same problem when the hematologist visited a pregnant patient who was hypercoaguable - they denied his visit as part of the global OB package! When I called and spoke to the appeals person, he told me that he knows modifier 24 isn't correct coding in these instances, but is the only way to get their system to pay the claims that should be paid. So now, even though not correct, if these different specialties' claims deny, our billers/follow up people have them reopen with modifier 24. The coders don't put them on the claim to begin with.
I feel your pain - and you are correct, the 24 is for the same physician (or same specialty, same group) during post op for unrelated visits.
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